Healthcare Provider Details

I. General information

NPI: 1881069573
Provider Name (Legal Business Name): BRITTANY ECHTENKAMP FOR INTUITUS GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2015
Last Update Date: 12/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1464 E WHITESTONE BLVD SUITE 2001
CEDAR PARK TX
78613-9058
US

IV. Provider business mailing address

1464 E WHITESTONE BLVD SUITE 2001
CEDAR PARK TX
78613-9058
US

V. Phone/Fax

Practice location:
  • Phone: 512-386-1268
  • Fax:
Mailing address:
  • Phone: 512-386-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number68882
License Number StateTX

VIII. Authorized Official

Name: MRS. BRITTANY ECHTENKAMP
Title or Position: OWNER
Credential: LPC
Phone: 512-777-9649